Man-in-the-barrel syndrome is a neurological syndrome characterized by bilateral brachial muscular weakness.
The syndrome has been described with multiple cerebral diseases including 1:
- cerebral hypoperfusion with watershed infarcts
- bilateral cerebral metastases
- bilateral hemorrhagic contusions
- multiple sclerosis
It has also been described with noncerebral diseases such as:
- cervical spinal cord infarction
- osmotic demyelination syndrome
- cervical spondyloarthrosis myelopathy
- bilateral lesions of the brachial plexuses
History and etymology
It was initially described by JP Mohr in 1969 as a brachial diplegia with normal motor function in the legs and face, giving the appearance of being constrained in a barrel 2.
- 1. Antelo MJ, Facal TL, Sánchez TP, Facal MS, Nazabal ER. Man-in-the-barrel. A case of cervical spinal cord infarction and review of the literature. (2013) The open neurology journal. 7: 7-10. doi:10.2174/1874205X01307010007 - Pubmed
- 2. JP Mohr. Distal field infarction.In Neurology. (1969) Neurology. vol. 19, no. 3, p. 279.